Chronic Stroke
Conditions
Brief summary
Hypothesis 1: Ho: Ankle-foot orthosis, which fixes the ankle at different angles (3 degrees dorsiflexion - 5 degrees dorsiflexion), has no effect on knee hyperextension control in stroke patients with genurecurvatum gait. H1: Ankle-foot orthosis, which fixes the ankle at different angles (3 degrees dorsiflexion - 5 degrees dorsiflexion), has an effect on knee hyperextension control in stroke patients with genurecurvatum gait. Hypothesis 2: Ho: Ankle-foot orthosis, which fixes the ankle at different angles (3 degrees dorsiflexion - 5 degrees dorsiflexion), has no effect on pelvic movements in stroke patients with genurecurvatum gait. H1: Ankle-foot orthosis, which fixes the ankle at different angles (3 degrees dorsiflexion - 5 degrees dorsiflexion), has an effect on pelvic movements in stroke patients with genurecurvatum gait.
Detailed description
Kinematic evaluation of the gaits of stroke patients in 3 different situations will be made in the motion analysis system. Patients will be asked to walk at a normal walking pace for a distance of only 5 meters. Patients will walk the 5-meter distance first without the Ankle-Foot Orthosis, then with the Ankle-Foot Orthosis adjusted at 3 degrees of dorsiflexion, and then with the Ankle-Foot Orthosis adjusted at 5 degrees of dorsiflexion.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* At least 6 months have passed since the stroke incident * Ambulating with or without a walking aid (walker, cane or tripod) * Being between 0-3 points according to the Modified Rankin Scoring * Getting a score of 24 or above from the Mini Mental Test * Presence of hyperextension in the stance phase of gait * Volunteering to participate in the study
Exclusion criteria
* Having a history of more than one stroke * Known presence of dementia * Having a known orthopedic, psychiatric or other neurological disease * There is a situation that prevents communication * Having a history of surgery involving the lower extremities and gait
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Movement Analysis | Baseline | Reflective signs will be placed on certain anatomical points on the participants and the participants will be asked to walk at a distance of 5 meters. The three-dimensional positions of these reflective signs will be captured with the 8-camera Vicon motion capture system and recorded on the computer using Blade software. |
Countries
Turkey (Türkiye)